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Advantage Plans

Medicare Advantage (Part C) Plans in Michigan

If you have a Medicare Advantage Plan, you still receive your Medicare Part A and Part B benefits. However, you will receive your health coverage benefits from a private insurance company instead of the federal government. The Medicare Advantage Plans are a different way of receiving your health benefits. Some Medicare Advantage Plans include Part D prescription drug coverage. Some may also provide extra benefits, such as free gym memberships or limited vision coverage.

Medicare Advantage Plans may cover many of the same benefits that a Medigap policy would cover, such as extra days in the hospital. For this reason, you may not have a Medigap policy and a Medicare Advantage Plan at the same time.

You must have both Medicare Part A and Part B to join a Medicare Advantage Plan. You will still pay the Medicare Part B premium of $115.40 per month (in 2011). In addition, you may also have to pay 10 a monthly premium for your Medicare Advantage Plan. Before you join a Medicare Advantage Plan, you should call the company to find out how much your monthly premium, copayments and deductibles for services would be. Monthly premiums may vary by zip code.

Medicare Advantage Plans are available in many areas, but may require you to use a specific network of providers for non-emergency care. The network may be local, regional, or nationwide. The size of the network depends upon the type of Medicare Advantage Plan you choose. Before you pick a Medicare Advantage Plan, you should contact all of your health care providers to make sure they participate in the plan’s network.

In Michigan, there are five types of Medicare Advantage Plans:

  • Medicare Health Maintenance Organization (HMO) Plans
  • Medicare Preferred Provider Organization (PPO) Plans
  • Medicare Private Fee-for-Service (PFFS) Plans
  • Medicare Special Needs Plans (SNP)
  • Medicare Medical Savings Account (MSA) Plans

For more information on Medicare Advantage Plans contact MMAP at 1-800-803-7174.